Indiana
Professional Licensing Agency
Dawn Marie Simala
Controlled Substance Registration-Osteopathic Physician
License number
02001458B
Date granted
07/29/1993
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
St Joseph Family Medicine Elm Rd, 60101 Bodnar Blvd, Mishawaka IN 46544
indianalicensing.org
ID 5809124
LAST UPDATED 2024-04-16 01:18:35 UTC
LAST UPDATED 2024-04-16 01:18:35 UTC
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